| NPI | 1558818179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA C PATEL Owner 850-316-7376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A125677) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-11-01 |